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DUPLICATE <br />OLD AGE ASSISTANCE CERTIFICATE <br />No.... 9=97.4 .................. <br />........................ .F 411 ............................ County, Nebraska <br />Name....... MraJo an..l.Rann........................... :................................................................. <br />Age .....75.......... Address...... ,Grand Island,Nebr. <br />Amount .............. Modified Amount $ ................................ $ ................................ <br />Date........ MAY.....f:..........................19...36 <br />This is a true copy of Certificate originally <br />issued. <br />................Non ........... <br />,Director of Assistance <br />S.L. <br />�8lgned) Irl.D.Tol......en <br />.................. <br />Director of Assistance <br />.................................................................................. <br />Signature of Applicant, Next Friend or Guardian <br />